Active NPI
Israela Omidi, DC
- Chiropractor
- Beverly Hills, CA
National Provider Identifier
1205543667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29788
- Practice address
- 1171 Coldwater Canyon Dr
Beverly Hills, CA 90210 - Phone
- (310) 500-9951
- NPI assigned
- Nov 3, 2022
- Last updated
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29788 | CA | Primary |
Addresses
Primary practice location
1171 Coldwater Canyon Dr
Beverly Hills, CA 90210
Mailing address
9663 Santa Monica Blvd # 500
Beverly Hills, CA 90210-4303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250617002899 | CA | Practitioner - Chiropractic | 6002327947 | Practice locations: Beverly Hills, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC29788 | CA | MD | Chiropractor |
| 29788 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1205543667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9663 SANTA MONICA BLVD # 500",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 COLDWATER CANYON DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90210",
"telephone_number": "310-500-9951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMIDI",
"first_name": "ISRAELA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.